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(in months: 1= start, 2-25 are the months 1-24).

Opioid tolerance in advanced cancer patients:

a self limiting phenomenon?

661

412

210

162

118

101

65 58

39 30 26 20 16

13

14 9 10 9

7 6 5 5

3 2 4

0

100

200

300

400

500

600

700

1 2 3 4 5 6 7 8 9 10111213141516171819202122232425

number of patients

months

Physicians are (too) optimistic in

assessing prognosis / life expectancy

>13 weeks survival